Individual
JASMINE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1451 DIEDERICH BLVD, RUSSELL, KY 41169-1718
(606) 836-6683
Mailing address
1451 DIEDERICH BLVD, RUSSELL, KY 41169-1718
(606) 836-6683
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
004864
WV
225100000X
Physical Therapist
Primary
009430
KY
Other
Enumeration date
05/28/2025
Last updated
01/20/2026
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